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Self Referral

Are you experiencing mild to moderate depression, anxiety or stress?

If you are registered to a Barnsley GP and are experiencing a common mental health condition such as stress, depression or anxiety, and would like some help to manage it please fill in the self-referral form below and we will contact you within 2 working days. If you are not sure whether you need to self-refer please read our FAQ’s 

Please note

When completing this referral if you are experiencing symptoms of severe distress or if you have had thoughts of suicide or self-harm within the past week which you have wanted to act upon, please contact:

  • Barnsley IAPT duty service on 01226 644900 between 9.00am and 5.00pm Monday – Friday
  • NHS 111
  • Your GP service

In the event of an emergency, or if you require immediate medical attention, please call the emergency services by dialling 999

Barnsley IAPT Self-Referral Form

Please fill in your details below as best you can


Address Details

GP information

Please fill in your GP details if you know them:


Further information

About your condition

Please answer the following questions as best you can:


Please note

When completing this referral if you are experiencing symptoms of severe distress or if you have had thoughts of suicide or self-harm within the past week which you have wanted to act upon, please contact:

  • Barnsley IAPT duty service on 01226 644900 between 9.00am and 5.00pm Monday - Friday
  • NHS 111
  • Your GP service

In the event of an emergency, or if you require immediate medical attention, please call the emergency services by dialling 999